DANA MARIE FILLMORE PSY.D.
NPI 1891912887
Psychologist - Clinical in San Diego, CA

Q: What is Dana Fillmore's NPI number?

The NPI number for Dana Fillmore is 1891912887. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Q: What is Dana Fillmore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Dana Fillmore enrolled in Medicare?

No. Dana Fillmore has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Dana Fillmore was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2007Opted out of Medicare · through Jul 1, 2028

12625 HIGH BLUFF DR, SUITE 104, SAN DIEGO, CA 92130(858) 755-7844 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dana Marie Fillmore Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANA MARIE FILLMORE PSY.D. (NPI 1891912887) is an individual clinical provider in San Diego, California, licensed in California (PSY16714) and active in the NPI registry since April 2007. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1891912887

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDANA MARIE FILLMORECredential: PSY.D.

Location Address12625 HIGH BLUFF DR, SUITE 104San Diego, CA 92130-2052

Mailing Address12625 High Bluff Dr, Suite 104San Diego, CA 92130-2052 · (858) 755-7844

Phone(858) 755-7844

Sole ProprietorYes

Enumeration DateApril 19, 2007

Last NPPES UpdateApril 8, 2009

✔ NPI 1891912887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY16714

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

12625 HIGH BLUFF DR, San Diego, CA 92130

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dana Marie Fillmore Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CARRIE JAFFE PH.D

Psychologist (Clinical)

12625 HIGH BLUFF DR, #101
SAN DIEGO, CA 92130

San Diego County (858) 208-9689

DR. JACQUELINE MICHELLE GAMBOA PSY.D.

Psychologist (Clinical)

12625 HIGH BLUFF DR, SUITE 114
SAN DIEGO, CA 92130

San Diego County (858) 492-8445

WCS INC.

Speech-Language Pathologist

12625 HIGH BLUFF DR, STE 104
SAN DIEGO, CA 92130

San Diego County (858) 794-9514

ARIELLE MANGANIELLO LPC

Counselor

12625 HIGH BLUFF DR
SAN DIEGO, CA 92130

San Diego County (619) 839-9422

DR. SUSAN LAGASSE PH.D.

Psychologist (Clinical)

12625 HIGH BLUFF DR
SAN DIEGO, CA 92130

San Diego County (858) 793-8768

DR. MICHAEL KORNBERG M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

12625 HIGH BLUFF DR, SUITE 305
SAN DIEGO, CA 92130

San Diego County (858) 279-1223

DR. DARLENE B SWEETLAND PH.D.

Psychologist (Clinical)

12625 HIGH BLUFF DR, SUITE #104
SAN DIEGO, CA 92130

San Diego County (858) 382-1137

MS. JEANNINE JOYCE REEVES MFT

Marriage & Family Therapist

12625 HIGH BLUFF DR, STE. 113
SAN DIEGO, CA 92130

San Diego County (858) 229-9346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Fillmore's NPI number?

The NPI number for Dana Fillmore is 1891912887. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Dana Fillmore located?

Dana Fillmore practices at 12625 High Bluff Dr Suite 104, San Diego, CA 92130. The listed phone number is (858) 755-7844.

What is Dana Fillmore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dana Fillmore enrolled in Medicare?

No. Dana Fillmore has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dana Fillmore was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.